New Years Retreat
December 29th-January 1st
Cost $110 per camper
Grades 7th -12th
Check in 3pm December 29th
Check out 2pm January 1st
300 S Margaret Dr. Prescott AZ 86302
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Email *
Name *
Grade *
Gender *
Email *
Parent's or Guardians number *
Health Insurance *
Emergency Contact *
Emergency Contact *
Do you give camp ALOMA permission to transport your camper in the event of a emergency *
Do you give camp ALOMA permission to give your camper medical attention if needed *
Do you give camp ALOMA permission to take your camper to a medical facility ( Emergency room, Urgent care, etc.)  if needed *
Do you give camp ALOMA permission to take photos of your camper or use their photo in social media promotion *
Dietary restrictions *
Does your camper take medication *
I understand that if my camper shows any signs of COVID 19 or any other sickness during this event I will be responsible to pick them up. *
Required
We are still looking into transportation. If transportation was provided would you send your camper on it? *
Required
I understand that I will have to pay $$ upon arrival *
Required
A copy of your responses will be emailed to the address you provided.
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